Testosterone-Shot v. Gel?

[jkhh]

I went to my urologist today and was given my "options" for replacement; either a once monthly shot or gel (pump). I'm going to retest in 6 weeks to see if my total (309) and free might have come back up (it did last summer after quitting cholesterol med.-Crestor). This time, I've stopped Vytorin for the time being to see what effect, if any (the Vytorin is having on testosterone). Assuming my PSA comes back good, then I'll be cleared to start replacement.

Can anyone(s) give me input on shots v. gel? My concerns are cost (insurance coverage too), side effects and suppression of natural testosterone production. PLEASE advise me of any others! I was told I would have to go for a shot once per month (I think) or could use the pump at home. My doctor is approx. 60 miles from me so in the travel regard, the pump sounds better although I'm one who likes to get it over and done. So, the shot sounds good too .

Thanks for any input.

[hayfarmer]

You don't give enough information to give good advise to you. I would need to know your age, general health, and blood test results and whether or not you want to remain fertile.

Both treatments will render you with low sperm count. In my opinion after having been on both the shots are better but once a week is the least often I would suggest for shots. Once a month is not going to work. You would have to have a huge dose and that would put you on a hormonal roller coaster. T and Estradiol way too high early and then way too low at the end of the month. Given the choice you have I would do the pump. But if you can choose I would find another doctor to work with. You can give yourself the shots once a week if your doc will let you. For most men the gel does not get their T high enough to work well.

If you are interested in remaining fertile or keeping your testicles a working and a reasonable size then neither treatment is appropriate.

[JinL]

The self injection once a week is more effective, easy, & the least expensive.

You also need to keep track of your estradiol E2. My doc said E2, not testosterone was a problem with the prostate.

[jkhh]

JinL,

What is the cost (vial) to do the once per week shot?

Thanks.

[jkhh]

Hayfarmer,

My age is 40, my health is good (other than high cholesterol) and my blood test result was only Total=308. I am going to repeat the test in mid-June which will include free.

Thanks.